腺性膀胱炎治疗方法的探讨

Treatment of glandulars cystitis

目的 提高腺性膀胱炎的治疗效果。 方法 对 12 7例腺性膀胱炎按不同的病因分组 ,分别采取抗炎对症、解除梗阻、膀胱灌注化疗、经尿道电切、膀胱部分切除术、膀胱全切除术等治疗。结果 伴发结石异物的患者 ,病因去除后 5 0 %能够自愈 ,有效率达 94 %。伴发下尿路梗阻的患者 ,病因去除后有效率达 84 %。单纯泌尿系感染的患者经抗炎治疗后 5 3%能够自愈。未见伴发疾病的患者有效率 71% ,复发率 4 6 % ,癌变率 2 1%。 结论 对于不同病因的腺性膀胱炎采取不同的治疗方式 ,疗效满意。

Objective To improve the therapeutic results of patients with glandular cystitis. Methods One hundred and twenty-seven patients with glandular cystitis were treated according to their different etiological factors. The therapeutic methods included anti-infection, obstruction relief, bladder irrigation, transurethral resection, partial cystectomy, total cystectomy. Results The patients who were associated stones and foreign bodies (50%) were cured spontaneously with an effective rate of 94%. The effective rate in patients with low urinary tract obstruction was 84%. Patients with simple urinary tract infection (53%) were cured spontaneously after anti-infection therapy. The effective rate, recurrence rate and malignantcy rate in patients without associated diseases were 71%, 46% and 21% respectively. Conclusions Cystitis glandularis should be treated according to different etiological factors.